45D1094498 CLIA NUMBER - HEB PHARMACY #599

Laboratory Demographics

  • CLIA Code: 45D1094498
  • Facility Name: HEB PHARMACY #599
  • Facility Address: 5225A BUFFALO SPEEDWAY
    HOUSTON, TX
    ZIP 77005
  • Facility Phone: 713 664-3426
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NOBLE KURUVILLA
  • NPI Number: 1457501108
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1094498
LAB Type Pharmacy
Facility Name HEB PHARMACY #599
Street 5225A BUFFALO SPEEDWAY
City HOUSTON
State TX
ZIP 77005
Phone 713 664-3426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Pharmacy
Lab Director NOBLE KURUVILLA

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This page was last updated on: 3/20/2025